Mr Corvell Coburn, LCSW - Social Worker in Toomsuba, MS

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Mr Corvell Coburn, LCSW is a Social Worker - Clinical based in Toomsuba, Mississippi. Mr Corvell Coburn is licensed to practice in Mississippi (license number C5981) and his current practice location is 2967a Highway 11 And 80, Toomsuba, Mississippi. He can be reached at his office (for appointments etc.) via phone at (662) 769-1024.

NPI number for Mr Corvell Coburn is 1124559232 and his current mailing address is 262 King Rd, Hattiesburg, Mississippi. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1124559232.

Contact Information

Mr Corvell Coburn, LCSW
2967a Highway 11 And 80,
Toomsuba, MS 39364-9470
(662) 769-1024
Not Available

Map and Direction




Provider's Profile

Full NameMr Corvell Coburn
GenderMale
SpecialitySocial Worker - Clinical
Location2967a Highway 11 And 80, Toomsuba, Mississippi
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124559232
  • Provider Enumeration Date: 03/22/2017
  • Last Update Date: 06/18/2020

Medical Identifiers

Medical identifiers for Mr Corvell Coburn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124559232NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 906622 (Mississippi)Secondary
1041C0700XSocial Worker - Clinical C5981 (Mississippi)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Corvell Coburn is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Corvell Coburn, LCSW
262 King Rd,
Hattiesburg, MS 39402-8503

Ph: (601) 336-0407		Mr Corvell Coburn, LCSW
2967a Highway 11 And 80,
Toomsuba, MS 39364-9470

Ph: (662) 769-1024

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.